Individual
MISTI DIEFENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 W 16TH ST, KEARNEY, NE 68847-6058
(308) 865-5361
Mailing address
PO BOX 142, MERNA, NE 68856-0142
(208) 403-4537
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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